Halee Stalmack

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3809 Lake Eastbrook Blvd SE Ste a
Grand Rapids, MI 49546-5931

Phone

(489) 261-6604

NPI assigned

May 7, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1962086843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5281 CLYDE PARK AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495099506",
            "telephone_number": "616-719-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 LAKE EASTBROOK BLVD SE STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465931",
            "telephone_number": "489-261-6604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5281 Clyde Park Ave SW",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MI",
            "postal_code": "495099506",
            "country_code": "US",
            "telephone_number": "616-719-5462 x315",
            "fax_number": "616-719-4267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STALMACK",
        "first_name": "HALEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anders Ross-Brandt Staky
• Kylee Christena Staky, DPT
• Justin R Staley, DO
• Morgan Staley, CRNA
• Lilly Ann Stallmer, PA-C
• Daniel J Stalsonburg, PA
• Benjamin Stam
• Daniella J Stambaugh
• Gracie Linne Stamp
• Gregory Gordon Stancroff, RPH

• Behavior Technician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.